Individual
SAMANTHA N CORDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 CROSS OAK DR UNIT 5, VERONA, WI 53593-9074
(208) 608-4299
Mailing address
301 CROSS OAK DR UNIT 5, VERONA, WI 53593-9074
(208) 608-4299
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
1745
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
2024-01575
NC
Other
Enumeration date
04/02/2020
Last updated
09/23/2024
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